A 23-year-old male asked:
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i have 2 children and i am type 1 diabetic for 21 yrs and i have severe nerve pain in my arms n hands for past 5 yrs isit neuropathy or carpal tunnel?

3 doctor answers
Dr. Irfan Lalani
21 years experience Neurology
Could be either: Diabetic neuropathy usually affects the feet before it affects the hands and arms. However, your symptoms could be coming either from carpal tunnel or from peripheral neuropathy. Symptoms from carpal tunnel are usually most intense in the thumb, index and middle fingers and are worsened by repetitive motion. Clumsiness, and weakness in the hands also occurs commonly in cts. An EMG is needed.
Answered on Oct 4, 2016
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Dr. Alex Meyers
24 years experience Hand Surgery
Nerve pain: Hard to say. Try a splint in your wrist at night and periodically during the day (carpal tunnel splint). If it helps more likely carpal tunnel. If no tingling in your feet that would point to another likely cause other than neuropathy.
Answered on Mar 23, 2015
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1 comment
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Dr. Asher Turney
18 years experience Occupational Medicine
Consider getting a EMG/ nerve conduction test if no better.
Apr 24, 2013
Dr. Olav Jaren
18 years experience Neurology
Either of neither?: Both of the causes you proposed are possible. But pain does not necessarily indicate either diagnosis. Arthritis, tendonitis or vascular diseases could be causes of your symptoms. An examination and perhaps a nerve conduction test should help you find the cause and develop a treatment plan. Good luck!
Answered on May 22, 2016

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